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Evaluation Reports

Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as www.insideOCB.com.

Since 2014, MSF has been implementing health programs for key populations (KP) mainly along a major transport corridor running through Mozambique and Malawi.

This evaluation was conceived to evaluate each program individually, and then to look at all programs comparatively in order to discern which interventions were most effective. Furthermore, the intention was to consider the sum of the MSF experience in these programs to infer an optimal model of care that responds best to the health needs.

This evaluation was conducted by Richard Bedell & Victoria Bungay under the management of the Stockholm Evaluation Unit of MSF. Finalized in December 2018.

The objective of this lessons learnt exercise was to assess the advantages and disadvantages of the UNITAID grant governance and management model for project achievements in terms of medical (and related) outcomes, strategic decisions, the potential for collaboration between multiple MSF entities and to leverage the learnings for replication in future projects. The exercise showed that the project directly delivered a new, more effective, simpler and much cheaper treatment to patients across seven countries.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Hugues Juillerat, Sharon McClenaghan and Glenn O’Neil of TRAASS International.

After a very intense and difficult one week response to support the MoH Hospital with specialised burn trauma capacity, the cell and mission brought in Stockholm Evaluation Unit to facilitate an internal Retrospect process to help the team identify key lessons and to bring closure to the project team. Note, the Retrospect does not aim to make independent judgement or analysis, only to facilitate bringing out the lessons and to help synthesize these into actionable outcomes.

Integration of HIV/TB services is one of the priorities for the MSF movement since 2010 and in particular for OCBA that started hand over of the so-called vertical programs in the same year. This process has finished for the total of 16 vertical HIV programs of MSF-OCBA started since 2005. Integration aims to provide access to HIV/TB care to all populations in need in locations where MSF has implemented regular projects, regardless of the HIV prevalence in places such as CAR (started in 2008), South Sudan (2011) and Niger (2014).

This publication was produced at the request of MSF OCBA, under the management of the Athens Evaluation Unit. It was prepared independently by Geraldine Brun and Heinz Henghuber (TL) and managed by the Athens Evaluation Referent Dimitra Kageropoulos.

2015 saw the first large scale Meningitis C outbreak in Africa since 1979. A number of challenges and problems had been noted in the way MSF operational sections in Niger, not least in terms of intersectional collaboration. Some lessons from the 2015 response had been captured. When, at the beginning of 2016, all OCs were getting ready again to respond, it was decided to evaluate the 2016 intervention in real-time.

This publication was produced at the request of programme managers for Niger in OCB, OCBA, OCG and OCP, under the management of the Stockholm Evaluation Unit. It was prepared independently by Alyson Froud.

This evaluation has been triggered by the recent finding that a substantial proportion of the Changara project’s patients had a high VL of more than 3,000 copies/ml (the criteria at the time), raising questions on the efficacy of the counselling services. Although the relationship between counselling and high VL remains unclear, this report details three key recommendations aimed at improving the overall efficacy of the counselling services.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Mranda Brouwer of PHTB Consult.
This publication was produced at the request of Médécins sans Frontières. It was prepared independently by Miranda Brouwer of PHTB Consult.

Full version and short version available. This evaluation of the viral load (VL) monitoring system was commissioned in order to more fully understand the experience and outcomes of the introduction and scale-up of VL in one district of Zimbabwe but also undertaken with a view to the national scale-up of VL monitoring, and the general issue of VL monitoring in sub-Saharan Africa in light of the UNAIDS 90-90-90 targets. The report details five clear recommendations to reach undetectable viral load.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Richard Bedell.

After 10 years in Zinder, the MSF mission is preparing for a successful handover of the project to the national authorities. Most of the work has been completed, and MSF can be proud of its accomplishments in Zinder. However, MSF still needs to ‘run the last mile’ in order to close its cycle in Zinder and to leave its nutritional involvement completely to the national authorities.The current evaluation was a follow-up on the initial capitalisation report done in 2014 and was initiated to assess the future of this handover.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Jonathan Novoa.